Individual
PHILLIP MICHAEL WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W 86TH ST, DEPARTMENT OF MEDICAL EDUCATION, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
(800) 731-0751
Mailing address
PO BOX 7232 DEPT 165, INDIANAPOLIS, IN 46207-7232
(317) 614-9850
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076557A
IN
Other
Enumeration date
03/18/2013
Last updated
03/23/2017
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